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HomeMy WebLinkAboutZ-13222TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN PLiLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /~ Land /--/ Building(s) /i~ Use(s) DATE: February 20, Pre C.O #Z13222 located at 905 Fvt. Rd. #19 Southold 1985 Street Hamlet shown on County tax map as District 1000, Section 20 , Block 1 , Lot 15 , does.~not)conform to the present Building Zone Code of the Town of Southold for the following reasons: F~emises is located in an "A" Residential Zone District permitt~,d uses is one family residence, one dwelling on each lot--lot is insufficient in area for two family use. On the basis of information presented to the Building Inspector's Office, it has been determined thai the above nonconforming f~/Land /l! Building(s) /ii(Use(s} existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector'S'office, the occupancy and use for which this Certifi- cate is issued is as follows: Two family residence with an access0r¥ garage and storage building. Harold E. Anderson, Phyllis Anderson, The Certificate is issued toFrederick Nelson & Cynthia Nelson, Ux (owner, X~XR~ )~R~ of the aforesaid building. ~ ux and Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. No record No record NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with al! applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. Building inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted~to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--{S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, I~ultiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings dod "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: I. Certificate of occupancy $§.OO 2. Certificate of occupancy on pre-existing dwelling/ land use - - ? r e - E × ± s t i n g 0. O. $1 5.0 0 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 ............. Old or Pre-existing Building x Vacant Land ............. New Building ~'0~)~ ~v% J~ t~/? ............ Location of Property ... ?.~.~.v. ¢.t.e..~, 9.~.d..9 .~f..S. qu..~.d..v.~, e..w..A.¥e..~.u.e. ........................ HouseNo. [~arold E o Anderson,S~'~llis Anderson, u× andHamlet Owner or Owners of Property .. ?.~.e.d..e T.i.c.k...~.e.~s..op..&...C¥~.t.h. ~,~..~.e. [. .s .o.~. ,. . .u .~ .............. County Tax Map No. 1000 Section ..... .5.0. ....... Block ..... ] .......... Lot ..... 3, 5 ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ...... M,i.c.h ~e ~1..J.,. J{.a.]. ~, .......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... ], $, p.O. ................... Construction on above described building and permit meets all applicable codes and regulations. Michael J. Hall Applicant .................................................... Rev. 10-10-78 AFFIDAVIT Re: Harold E. Anderson Premises= 1000-50-1-15 STATE OF NEW YORK) COUNTY OF SUFFOLK) ss.: Harold E. Anderson, being duly sworn deposes and states the following: That I am the owner of the house described on Suffolk County Tax Map as 1000-50-1-15. That I believe that said house was constructed prior to 1957--April 23 and has be~n used'continuously as a two-family that time and continues to be so residence since used. Sworn to befo=e me this ~---- Notary Public MAP OF LAND ,HAROLD E.~ PF--IYLLI,~ ANO--;~SON AND FP--'ED[.:P. ICK ~V~.~ CYNTNIA Nc'i-SON ,~OUTHOLD ~UFFOLK COUNTY, N.Y. / / / / / LOCATII~N MAP ~cc~ :: iOO'-- ~" 'd 0 J Eft'Al L ~c~l~: 40'=~"